| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.58 | $40.39 | $52.40 | |
Cigna
| Facility | $34.22 | $34.22 | $37.54 | |
Cigna
| Professional | $24.98 | $34.22 | $36.47 | |
Moda Health
| Facility | $17.64 | $42.17 | $59.84 | |
Moda Health
| Professional | $53.86 | $56.85 | $59.84 | |
Molina
| Professional | $30.00 | $44.16 | $52.60 | |
Regence BlueShield
| Facility | $52.40 | $58.44 | $87.66 | |
Regence BlueShield
| Professional | $41.89 | $43.38 | $62.83 | |
United
| Professional | $25.27 | $27.32 | $43.34 |